Individual provider Active NPI

Gebremariam Alem Gebremicael

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1285997528
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2120 Park Ave
Minneapolis, MN 55404-3378
Phone
(612) 872-2000
Fax
(612) 871-1375
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2120 Park Ave
Minneapolis, MN 55404-3378

Mailing address

570 Asbury St Ste 205a
Saint Paul, MN 55104-1857
Phone (651) 500-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425001785 MN Practitioner - Clinical Social Worker 9739443839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Support Services, LLC CurrentSince Aug 27, 2024 Accepting new patients
Sunrise Recovery Services, LLC Past Accepting new patients
African American Family Services Past Accepting new patients

Locations

1710 Douglas Dr N
Ste 225P
Golden Valley, MN 55422
Phone (612) 208-3068

1375 Saint Anthony Ave
#20203
Saint Paul, MN 55104

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1285997528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ASBURY ST STE 205A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041857",
            "telephone_number": "651-500-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043378",
            "telephone_number": "612-872-2000",
            "fax_number": "612-871-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREMICAEL",
        "first_name": "GEBREMARIAM",
        "middle_name": "ALEM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.